Nativity Disparities in Colorectal Cancer Screening Among Hispanics in the United States
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View abstract on PubMed
Summary
This summary is machine-generated.Foreign-born Hispanics show lower colorectal cancer (CRC) screening rates than non-Hispanic Whites, even after accounting for socioeconomic factors. Targeted interventions are crucial for this group to improve CRC early detection and prevention.
Area Of Science
- Public Health
- Epidemiology
- Cancer Prevention
Background
- Colorectal cancer (CRC) screening uptake is lower in U.S. Hispanics compared to non-Hispanic Whites.
- Disparities are more pronounced in foreign-born Hispanics, but recent trends and socioeconomic influences are unclear.
Purpose Of The Study
- To evaluate changes in CRC screening disparities between foreign-born and U.S.-born Hispanics and U.S.-born non-Hispanic Whites over two decades.
- To determine if these disparities persist after adjusting for socioeconomic and demographic factors.
Main Methods
- Utilized 2019 National Health Interview Survey data.
- Compared CRC screening adherence using weighted log-linked binomial regression.
- Analyzed screening prevalence across Hispanic nativity subgroups and U.S.-born non-Hispanic Whites.
Main Results
- Unadjusted CRC screening prevalence was significantly lower in both foreign-born (47.18%) and U.S.-born (64.18%) Hispanics versus U.S.-born non-Hispanic Whites (70.70%).
- After adjustment, foreign-born Hispanics still had lower screening prevalence (APR 0.80; 95% CI 0.70-0.91) compared to U.S.-born non-Hispanic Whites.
- No significant difference in screening was found between U.S.-born Hispanics and U.S.-born non-Hispanic Whites post-adjustment.
Conclusions
- Low CRC screening uptake persists in foreign-born Hispanics, independent of socioeconomic and demographic factors.
- Interventions targeting foreign-born Hispanics are essential to reduce CRC disparities.
- Promoting early detection and prevention in this population is critical, irrespective of socioeconomic status.
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